| Name: | OCEAN STATE HEALTH CARE CLINICS INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 04 Apr 1997 (28 years ago) |
| Date of Dissolution: | 06 Nov 2014 (10 years ago) |
| Date of Status Change: | 06 Nov 2014 (10 years ago) |
| Identification Number: | 000094417 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 8 KENDALL DRIVE, LINCOLN, RI, 02865, USA |
| Purpose: | OWNING, OPERATING, MANAGING AND MAINTAINING PRIMARY HEALTH CARE CLINICS. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861530354 | 2007-02-05 | 2020-08-22 | 20 CUMBERLAND HILL RD, SUITE 105, WOONSOCKET, RI, 028954854, US | 20 CUMBERLAND HILL RD, SUITE 105, WOONSOCKET, RI, 028954854, US | |||||||||||||||||||||
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| Phone | +1 401-765-2250 |
| Fax | 4017666588 |
Authorized person
| Name | MR. GOPALA VASUDEVAN |
| Role | PRESIDENT |
| Phone | 4017423427 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | OS27487 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| GOPALAT VASUDEVAN | Agent | 8 KENDALL DRIVE, LINCOLN, RI, 02865, USA |
| Name | Role | Address |
|---|---|---|
| SREEKALA VASUDEVAN MD | PRESIDENT | 8 KENDALL DRIVE LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| GOPALA VASUDEVAN | VICE PRESIDENT | 8 KENDALL DRIVE LINCOLN, RI 02865 USA |
| Number | Name | File Date |
|---|---|---|
| 201449487690 | Revocation Certificate For Failure to File the Annual Report for the Year | 2014-11-06 |
| 201439450930 | Revocation Notice For Failure to File An Annual Report | 2014-05-20 |
| 201326669140 | Annual Report | 2013-08-06 |
| 201321849510 | Revocation Notice For Failure to File An Annual Report | 2013-06-03 |
| 201293943450 | Annual Report | 2012-06-12 |
| 201293048470 | Revocation Notice For Failure to File An Annual Report | 2012-05-23 |
| 201177132730 | Annual Report | 2011-03-31 |
| 200955621840 | Annual Report | 2009-12-23 |
| 200948205860 | Annual Report | 2009-07-24 |
| 200811936040 | Annual Report | 2008-06-16 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
